NPI | 1104563824 |
---|---|
Entity Type | Organization |
Authorized Contact | CHINYERE ADIBE Provider 202-390-4129 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-05-14 |
Last Update Date | 2023-02-06 |